| Doctor Name: | DEBRA WILCOX |
| NPI Number: | 1689095242 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 389443 |
| Business Practice Address: | 8150 State Route 42 Suite B Plain City, OH - 43064 |
| Business Phone Number: | 6148731696 |
| Business Fax Number: | |
| Mailing Address: | 8150 State Route 42, Suite B PLAIN CITY |
| State: | OH |
| Postal Code: | 43064 |
| Phone Number: | 6148731696 |
| Fax Number: | |
| NPI Enumeration Date: | 12/30/2013 |
| NPI Last Update Date: | 12/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 389443 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |